Mucoid impaction following nasal intubation in a child with an upper respiratory infection

Steven P. Cohen, Phil L. Anderson

Research output: Contribution to journalArticlepeer-review

Abstract

We describe a case of mucoid impaction following nasotracheal intubation in a child with an upper respiratory infection that was successfully treated with a fiberoptic bronchoscope too large to pass through the endotracheal tube lumen. To tile best of our knowledge, it is the first report in the anesthesia literature in which the placement of a nasal tracheal tube is implicated as the cause of the mucous obstruction. The physiologic changes that occur with anesthesia and that place patients at increased risk for this phenomenon, as well as the differential diagnosis, treatment, and prevention of this entity, are discussed.

Original languageEnglish (US)
Pages (from-to)327-330
Number of pages4
JournalJournal of Clinical Anesthesia
Volume10
Issue number4
DOIs
StatePublished - Jun 1 1998
Externally publishedYes

Keywords

  • Airway obstruction
  • Atelectasis
  • Mucoid impaction
  • Mucus
  • Pediatrics

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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